Rectal examination

Rectal examination is a basic diagnostic method in urology that allows a urologist to assess the condition of the prostate gland and adjacent structures. The procedure is carried out through the rectum and allows detecting pathologies at early stages, including hyperplasia, prostatitis, and neoplasms.

When rectal examination of the prostate is necessary

This examination is prescribed in the presence of characteristic complaints:

• frequent or painful urination
• feeling of incomplete bladder emptying
• pain in the pelvic or perineal area
• erectile dysfunction
• suspicion of prostatitis or adenoma
• control examination for chronic urological diseases

In men over 40 years of age, it is recommended to undergo this procedure annually as part of a preventive examination.

When rectal examination is not performed

There are a number of conditions when the examination is temporarily contraindicated:

• exacerbation of haemorrhoids or anal fissures
• severe pain or bleeding from the rectum
• acute inflammatory processes in the anus region
• recent surgical interventions in this area

In such cases, the doctor prescribes alternative examination methods.

How is a rectal finger examination performed in ZDRAVO?

The patient lies down on the side or stands in a special position to access the rectum. The urologist puts on a glove, applies the gel and gently inserts a finger into the rectum. The procedure takes a few minutes and usually does not cause any discomfort. The examination assesses the shape, density, size and sensitivity of the prostate gland.

How to prepare for the rectal examination procedure

No special preparation is required, but it is advisable:

• to cleanse the intestines with a microclysm a few hours before the examination
• refrain from eating 2-3 hours before the examination
• If you have chronic diseases, inform your doctor about them

These simple steps contribute to a comfortable and informative examination.

Related services and doctors to visit

For a comprehensive assessment of the state of the genitourinary system, the following may be recommended:

• Ultrasound of the prostate gland
• General analysis of urine and PSA
• Consultation with an andrologist
• Consultation of a proctologist in case of suspected concomitant pathology of the rectum
• Uroflowmetry - to assess the act of urination

All these services are available in one medical centre, which allows you to make a diagnosis quickly.

Why you should choose ZDRAVO clinic in Mykolaiv

At ZDRAVO clinic, rectal examination is carried out delicately, taking into account the physiological and psychological comfort of the patient. Experienced urologists use international protocols, modern instruments and ensure the confidentiality of each visit.

FAQ about rectal examination of the prostate

1. 1. Is rectal examination painful for men?

The procedure can be a little unpleasant, but usually not painful. The doctor uses a gel to reduce discomfort, and an experienced urologist acts as delicately as possible. It is important to remain calm and breathe evenly.

2. Why do a rectal examination if there are no complaints?

The examination helps to detect asymptomatic changes, including benign hyperplasia or early prostate cancer. In men over 40 years of age, this examination is recommended annually for preventive purposes.

3. Can rectal examination be replaced by ultrasound or tests?

Ultrasound and PSA analysis are important methods, but they do not provide complete information about the consistency or sensitivity of the prostate. Finger examination remains the basic screening method in modern urology.

4. Is the procedure performed in case of haemorrhoids or anal fissures?

In case of exacerbation of hemorrhoids, pain or bleeding, the examination can be postponed. The doctor will take into account the condition of the anal canal and, if necessary, prescribe a consultation with a proctologist.

5. How to behave after the rectal examination?

There is no need to limit physical activity or diet after the examination. Only in rare cases, there may be a short-term feeling of discomfort that disappears quickly.